Marissa Mildred Grabowy, LEP

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

3128 Issued in CA

Practice address

3899 Haines St BLDG 8
San Diego, CA 92109-6354

Phone

(858) 775-2654

Fax

(858) 246-6874

NPI assigned

Jul 27, 2010

Last updated

Jul 27, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1568776912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3899 HAINES ST BLDG 8",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921096354",
            "telephone_number": "858-775-2654",
            "fax_number": "858-246-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3899 HAINES ST BLDG 8",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921096354",
            "telephone_number": "858-775-2654",
            "fax_number": "858-246-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABOWY",
        "first_name": "MARISSA",
        "middle_name": "MILDRED",
        "name_prefix": "Miss",
        "credential": "LEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "3128",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "3128",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "3128",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "3128",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "3128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Ann Graber
• Marie L Graber, P.T.
• Paul Jerome Graber, DDS
• Taylor Jeffrey Graber, M.D.
• Kaci Elizabeth Grabowski
• Grace Orthopedic Specialists
• Kathleen Grace, RPT
• Klair Grace, RN
• Sarah Grace
• Savannah Nicole Gracey

• Intellectual & Developmental Disabilities Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Intellectual & Developmental Disabilities Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.